16-103633 r . S um'bing
City y&Econ Dev Federal Way Services
Community& Hermit #: 16-103633-00-PL
. .
33325 8th Ave S
Federal Way,WA 98003 4 Inspection Request Line: (253)835-3050
Ph (253)835-2607 Fax:(253)835-2609 p Q
Project Name: THE RESERVE APARTMENTS-POOL BUILDING
Project Address: 125 SW CAMPUS DR Parcel Number: 192104 9017
Project Description: Replace and relocate electric water heater.
Owner Applicant Contractor
KW/WDC WEST CAMPUS LLC MONTE ATKINSON KOHLER HEATING&A/C(GENERAL)
9701 WILSHIRE BLVD SUITE 220 KOHLER HEATING AND A/C INC KOHLEHA95001(9/22/17)
BEVERLY HILLS CA 90210 4602 WOLLOCHET DR NW 4508 76TH AVE CT NW
GIG HARBOR WA 98335 GIG HARBOR WA 98335
Plumbing Fixtures
Water Heaters 1
PERMIT EXPIRES Sunday, January 22, 2017
Permit Issued o n Tuesday, J ul 26, 2016
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent Date: .7/r��/��/
• THIS CARD IS&REMAIN ON-SITE
4A.
Construction s lection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-103633-00-PL Address: 125 SW CAMPUS DR
Project: KW!WDC WEST CAMPUS LLC FEDERAL WAY,WA 98023-8365
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD` Inspections are listed as close to sequential order as
possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
0 Plumbing Groundwork(4190) Q Rough Plumbing(4230) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
❑ Final-Plumbing(4075)
Approved
By e y Date e‘..., tq. _A 16
P
L , pK erg, RIec, 5 tno — A () 14111
III
0 Rough Electrical 0 Final Electrical Right of Way
Approved Approved 0 Approved
By Date By Date By Date
4%.‘ DECEIVE® PERMI' APPLICATION
CITY OF JUL 2 6 20#�
RMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
Federal Way 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
CITY OF FED RAL WAY
1 PERMIT NUMBER (to - _ _ TARGET DATE 1/7 6/4"
SITE ADDRESS SUITE/UNIT#
i 5 5 C-a,,p4 s Del h (1 a y
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT ❑ BUILDING Yr PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT --7-‘c/ /�rsey,`G o
PROJECT DESCRIPTION Repo clef Fir c�lzd+'aIe r 'tA4k +- it o -c ; t- k 7`xi e ,t9 Wei- slat
Detailed description of work to e91 He 1+1G6 f/R(P0001
be included on this permit only
------ NAME PRIMARY PHONE
K� ( vD Cr t/r c ���pS LL e
PROPERTY OWNER MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME -- -- PHONE
/Cain / q 1$1 f 2S + -' ',5.- '..641 LC
MAILING ADDR S
E-MAIL
CONTRACTOR 9S r1 _c Li /1 c PV /i®tif-e�o /1 ern it . , .
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE it EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME
Haw l'e k PRIMARY PHONE
APPLICANT MAILING ADDRESS EMAIL
1St/ cif?'(I,e(/1/(// Meath kehier-441/1.CITY �j� TATE ZIP FAX
.0 !n./7Or %4 q�•3.?-1- 253-8-5-e-r1)-`I
NAME . �./ , I PRIMARY PHONE Q
PROJECT CONTACT /1641-e ! ' o Z S I".7- S e- 7 3-
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence CA-
concerning this application) CITY , STATE ZIP FAX
PROJECT FINANCING NAME S OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
' //
/ `' .
SIGNATURE: �i ' DATE 6f
PRINT NAME: /'z 4 / - - ,LtC,H
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application